Post-Certification Monthly Report

(Facility Dog- Month 1-6)

Name *
Do you have cues that you need help with?
Does your dog demonstrate any stress, adverse body language, or avoidance when:
Being dressed or groomed
(entering and exiting buildings, riding in car, plane, train, etc.)
Being in crowded or high distraction environments
Being around other dogs or animals
Being around children
Are there any changes in your life or in your family dynamics that have affected the working ability of your dog?
Have there been any incidents that have happened with your dog, to your dog or because of your dog that you feel should be reported to TLCAD? *
Does your dog have any medical or health problems that you are concerned about?
Please list how many individuals your facility dog has interacted with and/or supported in the last month.